Eric Koperda, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

60071 Issued in MN

Practice address

1026 3Rd St
International Falls, MN 56649-2209

Phone

(218) 283-2444

Fax

(218) 283-6111

NPI assigned

Jun 21, 2012

Last updated

Jan 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 27, 2017 through Nov 27, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Falls Medical Group, PLLC

  dba Falls.MD

  • General Practice Physician
  • International Falls, MN
  • NPI 1811518137
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1538422894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 3RD ST",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492209",
            "telephone_number": "218-283-2444",
            "fax_number": "218-283-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 3RD ST",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492209",
            "telephone_number": "218-283-2444",
            "fax_number": "218-283-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPERDA",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "60071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willard Johnson, PHD, LP
• Linda Kawulia, RPH.
• Heather Nichole Klemetsen, MS, LADC, LPCC
• Jay B Knaak, M.D.
• Nancy Lynn Knaak, APRN-CNP
• Danielle Krasaway, LPC
• April J Krause, LICSW
• Elizabeth Lessard, RN, CNP
• Christopher Little, MD
• Thomas Lofgren, PHARM.D.

• Family Medicine Physician in International Falls, MN
• Providers in International Falls, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.